Apply for the Workshop

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Contact Info

First Name: *
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Last Name: *
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Email: *
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Institution: *
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Department: *
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Position: *
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City: *
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State:
ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY

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Background Info

Areas of Specialization:
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Briefly describe what you see as the most valuable ideas that you can bring to this Workshop:
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Please verify the degree to which you are able to cover your own expenses for travel: *
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(Participants will be expected to cover their own transportation expenses, but in exceptional cases limited travel support may become available.)

Additional comments on need for travel support:

Other Info

Dietary Concerns:

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